Provider First Line Business Practice Location Address:
2760 ORO DAM BLVD E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OROVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95966-5117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-534-0601
Provider Business Practice Location Address Fax Number:
530-534-0116
Provider Enumeration Date:
07/21/2006